iatrogenic dissections of the ascending aorta are an uncommon and severe complication during cardiac catheterization. a 68-year-old female patient underwent diagnostic cardiac catheterization due to non-st-elevation myocardial infarction. during the procedure, a catheter-induced 360 • class i dissection of the right coronary artery occurred. the patient developed severe bradycardia, which was t...

INTRODUCTION The use of a system for continuous control of endotracheal tube cuff pressure reduced the incidence of ventilator-associated pneumonia (VAP) in one randomized controlled trial (RCT) with 112 patients but not in another RCT with 142 patients. In several guidelines on the prevention of VAP, the use of a system for continuous or intermittent control of endotracheal cuff pressure is no...

Interpretation of the meaning of a mean diastolic atrioventricular gradient or a mean systolic ventricular-great vessel gradient requires simultaneous determination of the level of the gradient, the heart rate, and the cardiac output. The feasibility of steady-state Fick principle cardiac output determination during combined right and left heart catheterization is investigated. LEFT heart cathe...

INTRODUCTION We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. MATERIALS AND METHODS Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospita...

BACKGROUND Although endotracheal suctioning induces alveolar derecruitment during mechanical ventilation, it is not clear whether repeated endotracheal suctioning exacerbates lung injuries. The present study aimed to determine whether repeated open endotracheal suctioning (OS) exacerbates lung injury compared to closed endotracheal suctioning (CS) during mechanical ventilation in an animal mode...

INTRODUCTION Recent research has investigated the use of ultrasound (US) for confirming endotracheal tube (ETT) placement with varying techniques, accuracies, and challenges. Our objective was to evaluate the accuracy of a novel, simplified, four-step (4S) technique. METHODS We conducted a blinded, randomized trial of the 4S technique utilizing an adult human cadaver model. ETT placement was ...

BACKGROUND Expiratory rib-cage compression, a chest physiotherapy technique, is well known as the "squeezing" technique in Japan. OBJECTIVE To determine the effects of rib-cage compression on airway-secretion removal, oxygenation, and ventilation in patients receiving mechanical ventilation. SETTING An intensive care unit of an emergency and critical care center at a tertiary-care teaching ...